| Organization Name: | BIG Y FOODS, INC. |
| NPI Number: | 1043421068 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE PAPPAS (SR MANAGER OF PHARMACY SERVICES) |
| Mailing Address: | 87-c West Stafford Springs Plaza Route 190 Stafford Springs |
| State: | CT US |
| Postal Code: | 06076 |
| Phone Number: | 8606844597 |
| Fax Number: | 8606845082 |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 02/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | PCY.2093 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |